Postpartal Family (Psychological Changes)

Question 1

What is a period of 6 weeks after delivery during which the reproductive system and body returns to normal?

Answer 1

Postpartum or Puerperium

Question 2

What is another name for Postpartum or Puerperium?

Answer 2

4th Trimester of Pregnancy

Question 3

Immediate postpartum occurs within

Answer 3

first 24 hours

Question 4

Early postpartum occurs within

Answer 4

First week

Question 5

Late postpartum occurs within

Answer 5

2nd to 6th week

Question 6

What are retrogressive changes in the mother?

Answer 6

involution of uterus and vagina

Question 7

What are progressive changes in the mother?

Answer 7

production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role

Question 8

Who came up with the three stages of Postpartum?

Answer 8

Reva Rubins

Question 9

What are the three stages of Postpartum?

Answer 9

• Taking in
• Taking hold
• Letting go (taking over)

Question 10

Taking in phase

Focused on ________

Answer 10

self

Question 11

Taking in phase

dependent on others for ______ __ ______

Answer 11

help in care

Question 12

Taking in phase

needs ___________

Answer 12

assistance

Question 13

Taking in phase

__________ _________ difficult

Answer 13

decision making

Question 14

Taking in phase

_________-_______-________ needs paramount

Answer 14

comfort-rest-food

Question 15

Taking in phase

relives __________ experience

Answer 15

delivery

Question 16

Taking in phase usually occurs __-__ days PP

Answer 16

2-3

Question 17

Taking hold phase

Moving from ___________ to ______________

Answer 17

dependence to independence

Question 18

How are the energy levels and the focus on infant in the Taking Hold Phase?

Answer 18

increased energy level; increased focus on infant

Question 19

Taking Hold Phase

self care, focus on __________, bladder, ___________

Answer 19

bowels; breastfeeding

Question 20

Taking Hold Phase

responds to _________, praise

Answer 20

instruction

Question 21

The Taking Hold Phase lasts from ___ day to __ weeks PP

Answer 21

3rd day to 2 weeks

Question 22

When does role transition occur in postpartum?

Answer 22

Letting Go Phase

Question 23

The Letting Go Phase lasts from the ___ week to the ___ week

Answer 23

2nd week to the 6th week

Question 24

Which of the maternal concerns and feelings involve feeling less important because the baby become’s everyone’s chief interest?

Answer 24

Abandonment

Question 25

How can the couple alleviate the feeling of abandonment?

Answer 25

Making infant care a shared responsibility

Question 26

Which of the maternal concerns and feelings make it difficult to feel positive immediately toward a child who does not meet their expectations?

Answer 26

Disappointment

Question 27

Disappointment relief measures

Handle the child warmly, to show you find the infant ____________ or even ___________

Answer 27

satisfactory or even special

Question 28

Disappointment relief measures

Comment on the child’s _______ _______, such as long fingers, lovely eyes, and healthy appetite

Answer 28

good points

Question 29

Which of the maternal concerns and feelings involve 50% of women experiencing some feelings of overwhelming sadness?

Answer 29

Postpartal blues or “baby blues”

Question 30

Postpartal blues may be caused by hormonal changes, particularly the decrease in _________ and ____________ that occurred with delivery of the placenta

Answer 30

estrogen and progesterone

Question 31

When do postpartal blues occur?

Answer 31

First week or two after birth

Question 32

Postpartum blues usually resolve naturally in __ to __ weeks

Answer 32

2 to 3 weeks

Question 33

Postpartum Blues

Severe ________ can also occur in women during this time

Answer 33

psychosis

Question 34

Postpartum Blues

_______________ has been shown to help elevate baby blues and counteract the effects of the hormonal drop that occurs after childbirth

Answer 34

Breastfeeding

Question 35

Postpartum blues

Overconcern re: infant and self, and emotional lability are ________ during the first __-__ days after delivery

Answer 35

normal; 5 to 10 days

Question 36

What is the maternal concern or feeling that involves rejection of infant, or fears that she may harm infant call for immediate intervention?

Answer 36

Postpartum Depression

Question 37

What are some measures to treat Postpartum Depression?

Answer 37

• relaxation therapy
• rest and nutrition
• frequent contact with other adults